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HomeMy WebLinkAboutWISEPLACE (7) • 1ƒ \ 10 E : e c = o § f 6- § u 3 § 3 E ' g •-..., , | : 0_ w o / n LJ 1 c . O \ \ � v 0 e 3 .• / § / // - \ IIt / / ' 7 / o• \ o 2 * E ^ c / / 0 / /_ ci. 0 @ 2 C • / / J �/ 0 5- / \ \ \ . • 0 � o � _ � 02 O = k / « \ / / / 04 D / / �� Cl) / \ \._ U • UCC 2 / 0$ _ _ C \ c U .§ / ƒ \ C @ 2 E t _ \ Tr 2 5 / / 0 - . / o Q o � / ./= k g C \ 0 » & 3 / o E U U 0 / } ' — J ^ OA \ E 4'27 /% \ / E gE % E 0 - E f cb- ©•emu _0 / % / 2 . / ƒ o c E # C. / ƒ2 § i / \ 2 § d c 2 \ / , � a.C \ ƒ f \ Z \ V a ., zwHANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES _ 1 W-L-0 CLERK WCOUNCIL 'TE AUG 2 9 2019 CITY OF SANTA ANA CpA Zvi COMMUNITY BENEFIT AGREEMENT WITH IDmiq Y \oc'O) 1. PARTIES AND DATE WISEPLACE A-2019-134 This Community Benefit Agreement ("Agreement') is entered into on August 20, 2019, by and between the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City") and WISEPlace, a California non- profit organization ("Recipient). City and Recipient are sometimes individually referred to as "Party" and collectively as "Parties" in this Agreement. 2. RECITALS 2.1 Community Benefit. The City wishes to provide Recipient with funding to assist in operating with programs that help transition unaccompanied homeless women back to self. sufficiency and reunite them with their families ("Community Benefit'). The Parties wish to enter into this Agreement to establish the terns and conditions under which the City will provide funding for such program. 2.2 Public Purpose. The City believes there is a public purpose in supporting the Community Benefit because it will assist City residents with providing a healthy activity and training in an atmosphere of community participation. The foregoing is a general description of the public purpose, and is not necessarily the only public purpose to be gained from the Community Benefit. 3. TERMS AND CONDITIONS 3.1 Use of Funds. The City has chosen to provide Recipient with Thirty -Thousand Dollars ($30,000.00), as detailed in Exhibit B ("Program Budget') attached hereto and incorporated herein by reference, because the City has determined that there is a public purpose to be served in supporting the Community Benefit. Such funds shall be expended by Recipient on or before June 30, 2020. The funds shall be disbursed by City to Recipient on a quarterly basis subject to and upon receipt and approval of a complete quarterly activity report from Recipient, with the final payment subject to the satisfaction of the condition precedent of submittal of complete reporting information due on or before July 15 of the applicable funding year, as hereinafter more fully set forth. Recipient shall be obligated to perform such duties as would normally extend beyond the term, including, but not limited to, obligations with respect to indemnification, audits, reporting, data retention/reporting, and accounting. Failure to provide any of the required documentation and reporting will cause City to withhold all or a portion of a request for reimbursement, or return the entire reimbursement package to Recipient, until such documentation and reporting has been received and approved by City. In executing this Agreement and receiving the funds, Recipient agrees to use the funds only for the purpose described and subject to the terms and conditions provided for in this Agreement, and set forth in greater detail in Exhibit A ("Scope of Services") attached hereto and incorporated herein by reference. Should Recipient fail to use the funds for such purpose or otherwise comply fully with the terms of this Agreement, City shall have the right to terminate this Agreement and demand the return of the funds pursuant to Section 3.2 below. 3.2 Tenn; Termination of Agreement. This Agreement shall take effect on August 20, 2019, and remain in effect through June 30, 2020. The City has the right to terminate this Agreement upon one day's notice, with or without cause. Should the City terminate this Agreement, it shall also have the right to demand the immediate return of all funds provided to Recipient pursuant to this Agreement, as well as interest at the rate of ten percent (10%) per armum. Notwithstanding the foregoing, the indemnification provisions of this Agreement shall survive any expiration or termination of this Agreement. 3.3 Insurance. Prior to undertaking performance of work under this Agreement, Recipient shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Recipient shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Recipient's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, with $1,000,000 in the aggregate. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non -owned automobiles. C. Worker's Compensation Insurance. In accordance with the provisions of Section 3700 of the Labor Code, Recipient, if Recipient has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Recipient agrees to obtain and maintain any employer's liability insurance with limits not Less than $1,000,000 per accident. d. If Recipient is or employs a licensed professional such as an architect or engineer: Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim with $2,000,000 in the aggregate. e. The following requirements apply to the insurance to be provided by Recipient pursuant to this section: (i) Recipient shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved by the City. 2 (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. f If Recipient fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such tenmination shall not affect Recipient's right to be paid for its time and materials expended prior to notification of termination. Recipient waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 3.4 No Oversight by City. Nothing in this Agreement shall be implied or interpreted as City establishing or providing oversight, control or approval of the Community Benefit or any activities conducted by the Recipient. 3.5 Indemnification. Recipient understands, acknowledges and agrees that Recipient shall assume all risks associated with the Community Benefit, including, but not limited to, the possibility of death or serious trauma or injury. To this end, therefore, Recipient shall defend, indemnify and hold City and its officials, officers, employees, agents and volunteers free and harmless from and against any and all claims, demands, causes of action, costs, expenses, liabilities, losses, damages or injuries, in law or equity, to property or persons, including wrongful death, in any manner arising out of or incident to any and all acts, omissions, willful misconduct or other activities of the Recipient or its officials, officers, employees, agents, guests, participants attendees, and contractors, including the performance of the Community Benefit or this Agreement, including without limitation the payment of all consequential damages and attorneys fees and other related costs and expenses. The only exception to the Recipient's obligations hereunder shall be for claims, demands, causes of action, costs, expenses, liabilities, losses, damages or injuries caused by the sole negligence, sole willful misconduct or sole active negligence of the City. Recipient shall defend, at Recipient' own cost, expense and risk, any and all such aforesaid suits, actions or other legal proceedings of every kind that may be brought or instituted against the City, its officials, officers, employees, agents, or volunteers. Recipient shall pay and satisfy any judgment, award or decree that may be rendered against the City or its officials, officers, employees, agents, or volunteers, in any such suit, action or other legal proceeding. Recipient shall reimburse City and its officials, officers, employees, agents, and/or volunteers, for any and all legal expenses and costs incurred by each of them in connection therewith or in enforcing the indemnity herein provided. Recipient' obligation to indemnify shall not be restricted or limited by insurance proceeds, if any, received by the City, its officials, officers, employers, agents or volunteers. The indemnification provisions of this Agreement shall survive any expiration or termination of this Agreement. 3.6 Records. Recipient shall keep records and invoices in connection with the work to be performed under this Agreement. Recipient shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Recipient under this Agreement. All such records and invoices shall be clearly identifiable. Recipient shall allow a representative of the City to examine, 3 audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Recipient shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Recipient under this Agreement. 3.7 Conflict Of Interest Clause. Recipient covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 3.8 Independent Contractor. Recipient shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Recipient performs the services which are the subject matter of this Agreement; however, the services to be provided by Recipient shall be provided in a marmer consistent with all applicable standards and regulations governing such services. Recipient shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 3.9 Assignment. Inasmuch as this Agreement is intended to secure the specialized services of Recipient, Recipient may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personrel or by other Recipients retained by City. 3.10 Exclusivity and Amendment. This Agreement represents the complete and exclusive statement between the City and Recipient, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terns of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Recipient. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Recipient or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 3.11 Discrimination. Recipient shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Recipient affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 3.12 Jurisdiction — Venue. This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be detennined and governed by the laws of the State of California. Both parties 91 further agree that Orange County, California. shall be the venue for any action or proceeding that maybe brought or arise out o1. is co;.^ec:ion v!: th or by reason of this Agreement. 3.13 Professional Licenses. Recipient shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services acreunder ane requirea oy the laws and regulations of the United States, the State of California, the Ciry of Santa Aria anc ail other governmental agencies. Recipient shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exeinptcOLs. Said inabiiity shall be cause for termination of this Agreement. 3.14 Entire Contact:'Mod nentlon. This Agreement contains the entire agreement of the Parties with respect to the subject matter hereof, and supersedes all prior negotiations, understandings or agreements. The ;arms anc conditions of this Agreement may be altered, modified or amended only by written agreement stgnec by both Parties. 3.15 Autho._ty [c � a sc. The person executing below on behalf of Recipient represents and warrants that the Recipient has all requisite power and authority to conduct its business and to execute, delver ar_d perform this Agreement. Each Party warrants that the individuals who have signed mis Agreement have the legal power, right and authority to make this Agreement bind each respective P--y. IN WITNESS WHEREOF, the patties herero nave executed this Agreement the date and year first above written. ATTEST: CITY OF SANTA ANA Daisy Gomez tine Ridge Clerk of the Council City .v_anaaer APPROVED AS TO FORM: "RECIPIENT" WISE?lace SONIA R. C VALkO City Att ne gy: Ryan o _*: Name: B3 rzeil Aghasi Assis t City ttornay Title: Executive Director RECOMMENDED FOR A?PROVAL: Steven A. Mendoza Executive Director Community Develcpriem Age.,cv 5 Name of Organization Name of Funded Program City of Santa Ana Scope of Work Program Year 2019-20 (August 1, 2019 - June 30, 2020) WISEPIace Steps to Independence Annual Accomplishment Goal Unduplicated Particioants anticit Schedule of Performance Unduplicated (estimated) Quarter 1: JUL 1 - SEP 30 Quarter 2: OCT 1 - DEC 31 Quarter 3: JAN 1 - MAR 31 Quarter 4: APR 1 - JUN 30 30 Program and Funding Description the 12-month contract period. 100% 30 Low Income Participants 100% Estimated Invoicing $ 7,500.00 $ 7,500.00 $ 7,500.00 $ 7,500.00 $ 30,000.00 WISEPIace programs help transition unaccompanied homeless women back to self-sufficiency and reunite them with their families. Our core program, Steps to Independence, provides stop -gap housing and healthy meals, meeting the most basic need of homeless women. We then work to develop long term selfsufficiency by addressing employment, medical and mental health challenges, budgeting and housing options. Case managers provide personalized help for each woman to overcome issues that led to homelessness. We support graduates to help them maintain self-sufficiency and become productive members of our community. In 2019, we anticipate serving 100-110 women. The Steps to Independence program is designed to serve the following major groups of women we serve: A. "Steps to Independence" targets women who are victims of domestic violence, human trafficking, are recovering from drug and/or alcohol abuse or who have been referred by an emergency shelter program. Increasingly, it also serves women who have survived a devastating financial reversal. Along with safe and affordable housing, residents receive a variety of support services including case management, required financial empowerment curriculum, employment assistance, clothing, meals, transportation, individual counseling and referrals to other community resources. B. "First Step" targets the growing number of young women who emancipate from the foster care system and are literally landing on the streets with no support system and very few survival skills. C. "Senior Step" provides solutions to the health and job -related challenges facing senior, homeless women. D. "Step Up" provides women with developmental disabilities more intense life skills training and health maintenance in addition to all of the services offered through our "Steps to Independence" program. E. "Positive Step" provides second stage housing for up to 5 WISEPIace graduates for up to two years, continuing their transition to self-sufficiency. Positive Step serves women with the most intensive service needs; women that have been chronically homeless with a contributing condition such as mental illness or drug abuse. F. "SRO" (single room occupancy) is a shorter -term program for women who have income but need a place to stabilize while looking for permanent housing. EXHIBIT A FISCAL YEAR 2019-2020 PROGRAM BUDGET Organization Name WISEPlace Program Name Steps to Independence EXPENDITURES Enter budget categories and projected expenditures for the proposed proeram: Category Expenditures Funded By Santa Ana CDBG Expenditures Funded By Other Sources Program Budget Total Organization Budget Program Staff Salaries & Benefits $30,000 $ 384,060 $414,060 $ 577,496 Contractual/Professional Services $0 $ 24,510 $24,510 $ 38,904 Safety & Security $0 $ 53,734 $53,734 $ 53,734 Repairs & Maintenance $0 $ 12,400 $12,400 $ 12,400 Communications & Marketing $0 $ 4,590 $4,590 $ 14,924 Utilities $0 $ 28,900 $28,900 $ 34,400 Program Expenses $0 $ 16,500 $ 16,500 $ 16,500 Program pass through expenses $0 $ 6,100 $ 6,100 $ 6,100 SAFEPIace Pass Through Expenses $0 $ - $0 $ 997,000 Training & Office Equipment $0 $ 8,130 $8,130 $ 11,130 General Office $0 $ 4,480 $4,480 $ 4,480 Positive Step House Lease $0 $ 42,000 $0 $ 42,000 Insurance & Property Taxes $0 $ 25,590 $25,590 $ 40,645 Professional Fees/Data Collection $0 $ 33,365 $ 33,365 $ 61,421 Other $0 $ - $ - S 25,330 TOTAL DIRECT COSTS $30,000 $ 644,359 $ 674,359 $ 1,936,464 Indirect Costs 10% $0 $0 TOTAL BUDGET $30,000 $644,359 $674,359 $1,936,464 * Indirect cost rate: 10% Non -Federal entity without federaly recognized negotiated indirect cost rate, will charge a de minimis rate of 10% of modified total direct costs. PROGRAM RESOURCES LISTALL OTHER PROGRAM RESOURCES FOR 2019-2020 Funding Source Total must equal Program Budget Total listed above. FUNDING SOURCE AMOUNT Santa Ana CDBG $ 30,000 Other Government Funding 31,000 Program Fees 73,359 Contributions/Events 235,000 Foundation Grants 280,000 Corporations 20,0001 United Way 5,000 TOTAL $ 674,359 EXHIBIT B 2019.2020 CDBG BUDGET LINE ITEMS ADMINISTRATIVE STAFF Position Title Annual Salary & Benefits CDBG Funds Requested Description PROGRAM STAFF Position Title Annual Salary & Benefits CDBG Funds Requested Description Program Manager $ 55,598 $ 20,000 Financial Empowerment Mgr $ 48,135 $ 10,000 TOTAL AMOUNT REQUESTED $ 30,000 CONTRACTUAL/PROFESSIONAL SERVICES Type of Service Contract Amount CDBG Funds Requested Description OTHER LINE ITEMS Program CDBG Funds Line Item Amount Requested Description I U 1 AL lU13(3 KLL(UL] 1 530,000 EXHIBIT B-1 WISECAG AC."C3liC7' •Gt aATE,LNogmYYj CERTIFICATE OF LIABILITY INSURANCE07/3012019 THIS CERTIFICATE IS ISSUED AS A. MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW„ THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING €NSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CSRTIFICATE HOLDER: IMPORTANT, If the certificate holder Is an ADDITIONAL INSURED, the POiicAies) must have ADDITIONAL INSURED Provisions If $UBROGATION IS WAIVED, be he or endorsed, dons d, ouh)act. to fire (arms and conditions gftha policy, gertBin policies may require this r an andorsesions certificate door at confetti hfs tgthe Dertlflcata haldar in lieu of such endarsaments. PRODUCER Dolton & Comp an 3475 E. Foothil6 SivY d., Suite q----- _ : n�g°,"ia IOU Pasadana, CA 9t107 Exn: (fi2fi) 79g-7000 1 cA 01:(626 441.3233 e. I • qrc casual boltanco.cgm s ' _ INSURERfoAPcORDING COVERAGE NAI U __...._._�.. ' nn BR , PI'rila aI to lnsu na Gom an 23650 166f0S INSURED IN RERs:. eW Yark. Marine & General I s. Ga.. mCABroad Corp„ Wise 9ilvar Canter dba; INsdRERe:. 1411 N. T4t1 N. Broadway R °: Santa Ana, CA 92706 eRE: NSURERP t C GES CE RKA19NUMBER, REVI ON UM THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW INOtCATEQ NOTWITHSTANDING ANY REQUIREMENT, ISSUED TERM OR CONDITION OF ANY CONTRACTOR TO THE INSURED NAME D ABOVE FORTHE POLICY PERIOD CERTIFICATE EXCLUSIONS MAX. BE ISSUED OR MAY AND CONERTI01J^a.OFSUCH PERTAIN'. POUCIES. THE INSURANCE AFFORDEO BY THE POLICIES LIMITS SHOWN MAYHAVE BEEN. OTHER.00CUMENTWITH DESCRIBED RESPECT TO WHICH THIS HERE€N IS SUBJECT TO ALL THE TERMS, ma TYPEOFINSURANCE ADM REDUCED BY SUER PDLICTEFF POt1CYNUMSER PAID CLAIMS. (POLICY EXP R YY LIMITS EACH ARE 1, 1100, 000 ' MAIMS-MAOE XPHPK1924744 e. DAMAGE iTO RENTED SES1Fa.D&4LLEMtn@j_ S _ 100,040 0110112019 tN DEXP rAn n 5,000 _f1IRaONAL d,�pV„IN,IURY. S 1,000,000 1,000,000 L AGGREGATE APPLIES PER: PURNOIT. POLICY1:1 J'a- E LaG PERSONANEFLALL E TE PRODUCTS•CDMMPA G 5 2,000,000 OTHER EXUAL PHYSICAL S 1,000,000 A �^ RUTOMOEILE LIABILITY - OUSINEU SINGLE LIMIT # s ,44709 D g� PwPK1E24T44. ? 0VOU2019 0,11fjf1'II,COW �g001LYINJURYa(r+grperaon 4 LY AUTOEDSULEO SQ OILY ITNJURY PeraeLld n $ LY f LOPERrftlTil AGE % S A X £IMERSUAMAIR X OCCUR eXCESS UAB MAIMS -MADE j#HLIBfi60328 01101I2019 0 EACH RRENr�F� g 11000,000 BED X RETENnONS ig,06 GG EGAT9 g B Aggregate '— 1,000,000 A ERS" R�Itt PER H- ANY PROPRIETORWARTNERIEJ(ECVfINE YIN FfICEWMEMR�)� EXCLUDED') YMaod orya NHDEWxx N lA 11WC201B000OBB33 08(1512019 $$ T E LEA H CC Yr m sa(Q(l., il„Q tt t�destribe undgF U SCRIPTI NOG PERATIONSbelam # E.L. UISEASE_FA EMPLOYE S 1000,000 k Professtoaat Llabili PHPKI924744 01/0112019 01,01,2020 EL DISE -POLICY LI Pr 1,000,000 A Crime I rHPK1924744 i 01/0112019 f€ 0110112020 DESCRIPTION OF OPERATIONS f WCATIONSI VEHICLES IACDRO 10r„Atldltlpnal. Ramerxs Schedule, mey be ettacFedlP more space Is ranolmtl) GLAdditlonal insumd appODS parCO20130413 attached; only it required by written controcuagreament. Primary and Non.Contfibutory Wording.. applies per PIGLOOSO712 attached. Notice of Cancellation applies per IL00171198 attached, Additional Imurad(s); City of Santa Ana, tbt�ay�yy�n� -q�r gq¢eA, a and representatives. RE; Operations of the named insured. YIf_V9'Ct1lXF9t"t'1(I,Jy _ CI.,j �Y Risk I gNAGEMENT DiVISiON __...... _ A tr nra .— LD ANY NA ��re rA Iris IYI�E THE EXPIRATION DATE THEREOF, NOTICEES BE WILLCBEOELLED BEFORE DELIIVERED IN Ci of Santa Ana a Maw ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civie Center Plaza; 4th floor Santa Ana,CA92701 A"�UUTHi1O�RIZEDD REEPR�ES�ENTATIVVE/E!� 1 Ay[..c.�iY'"tn-c.IL, C/"-C� ACORD 25(201.6(03) @ t988.201SACORDCnRpnRA'rinM the ACORD name and logo are registered marks of ACORD POLICY NUMBER: P8PKIS124744 COMMERCIAL GENERAL LIABILITY CG 2013 0413 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION -- PERMITS OR AUTHORIZATIONS RELATING TO PREMISES This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: City of Santa Ana, its officers, employees, agents, volunteers and representatives --------------------- Information required to complete this Schedule, if not shown above, will be shown In the Declarations. A. Section II — Who Is An Insured is amended to Include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following additional provision: This insurance applies only with respect to the following hazards for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization In connection with premises you own, rent or control and to which this Insurance applies: 1. The existence, maintenance, repair, construction, erection or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners or decorations and similar exposures; or 2. The construction, erection or removal of elevators; or 3. The ownership, maintenance or use of any elevators covered by this insurance, vm However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional Insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional Insured Is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 13 04 13 0Insurance Services Office, Inc., 2012 Page 1 of 1 WISECAC-Cl .�COJ7OWAYNE 4..� CERTIFICATE OF LIABILITY INSURANCE DATEIMMMDR,,YY) II THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.. IMPORTANT- If the certificate holder is an ADDITIONAL INSURED,. thepolicypes) must have ADDITIONAL INSURED provieloos or be endarsetl, If SUBROGATION IS WAIVED, subject to the terms and so Ill the of policy, eerialh policies may require an. endorsement, A statement on this certificate does not confer rights tothe -certificate holder In lieu of such endarsemenE s . PROOUCEIT Or Bolton & Compsrr�ryy I—_�__.•_._,_,_ _ Suite100 `. N 626 A� e,rt; 799-7000 a"c No: 626)441.3233 Pasadena, Pasadena, CA 01107 e• ,CA91107 ropcosudLYMPOITOPICO.Com SURE SAFFORDING GIVE GE NAIC — INSUREDNS4RERA-Philadalohla Insurance Company 23850 - uRERB: New York Marine & General Ins. Co. 18608 Wisoplace, CA Corp, Wise Silver Center dba: INSU ER c� --- 1411 N. Broadway .---.-- _— Santa Ana, CA 92706 INSUR 'HSU ERE:: NSURERpI COVER QES CERTIFICAIF NUMBER: LISTED BELOWKkVESEEN. TERMr OR ISSUEDTO THE INSURED REVISIONNUMBER: NAMEDASOVE FORTHE POLICYPERIOD THOS INDICATED IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY or REQUIREMENT, INSURANCE CERTIFICATE EXCLUSIONS MAY BE ISSUED OR MAY ANOD ONDITIONS OFSUCH PERTAIN,. POUCIES. CONOrPCN OF THE INSURANCE AFFORDED. BY LIMITS SHOWN ANY CONTRACTOR THE POLICIES OTHER DES CRIBCRIB DOCUMENTWITH RESPECTTO WHICH THIS ED HEREIN IS SUBJECT TO THE TERMS, bSRI MAY HAVE BEEN REDUCED BY CLAIMS, TYPE OF INSURANOE ADM URN POUCYNUMSER 'POLICYEFF ,( POLICYEXP A as"'�m -umns �1 CLAIMSMADE'16ay X PHPK1924744 0ll01l201g ��:6�c EACHOCC WREN 11000,000. U C' i oauAGEa kENTEo Icrs� �_ 100,000 EQ€xE. An and �_..�_. 5,000 .F.ERMAJ,& OV INJURY 1.Op0,p00 GEMLAGGREGAT APPLIES PER: JLIMIT PODGY P Q C00 I G A GRE AT 2,0OO,OpO oTHEas PMCUCTS•COMPIOPAGG 2.000,000 A AUTOMOBILE LIABILITY SEXUAL PHYSICAL g' 1,000,000 .i411Sb PHPKY924'74a i IOt70112079. COMBINED SINGLE LAMIT SIp6Rta , 9GWEOUCEp OTl0�f72d2O' SODILYINJURY Per amen .$ T SONLY NAUTOS NLB ast I_ EOOILY INJURY fFarac Itlenl Lg y�r9 f F�eOe oeiltlenty7AMAGE ,_ $ A X UMBRELLA LIAO I X OCCUR I a I EXCESS61A9 CLAIMS-MAOE IP HUS660328 011OV2019104 t20; 16` �EACHOCC R .NCE E 1,000,000 -OED X RETENTIONS 10,000 Ili. GGREG E Aggregate 1 B pQI ��ttEe E��SA,���p AwNRREMFOYERa"LIAB gTNy YIN -OSt15l2019Ip r 000,000 'PER OTH. TAT ANY PROPRIETORIPARTNERIEXECUTIVE FFICERIMEMNMEXCLUGEG4 YMantlafoyinHNi NfA iWC201900006833 i 'SPd926' E. EACH AC 0 NT E "5 dMobe under SCRIPTIONDFOPERAT NSbHaw t i EL.0I$E4SFiEAEMPLOYE 1 000,000 q Professional Liabili FHPK1924744 01t01f2019 011011202UI E 1,D EL OISEA POLICY 'SE IMtT OO,QOp A Crime pHPKi924744 I01/0V2019 0110112020I "BGRP"ON Op CPFAATIONS Q LOCATIONSI VEIIICLES IACORO 10I, Additional Remerke Sphodule, mey be.U.e hM If more space Is redulreeJ GL Additional Insured applies per CG2013C413 attached, only it required by written contract/agreement. Primary and. Non -Contributory Wording. applies: per PIGLOOS0712 attached, Notice of Cancellation applies per IL00171198 attached, Additional insured(a): City of Santa Ana, ItsNtloel�gppiVe& apggts„vpla)pt b:md representatives, RE: Operations ofthe named insured. YYYY CCLCIJ IClViSiON By By IZISk NAGEMEN7pDIVISiON MEET CERTIFICATE HOLDER 9 NAMATHAM.L4Mt3E SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityo Santa Ana 11 UC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1Ohspp fiATslYwlT,.�,�.` ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Canter Plata, 4th floor Santa Ana, GA 92701 AUTHORI2E0 REPRESENTATIVE &t,64 z 25(2016103) ' v..,... v..nrancr,f w". Ali rignts reserved. The ACORD name and logo are registered marks of ACORp POLICYNUMBER: PHPK1924744 COMMERCIAL GENERAL LIABILITY CG 20 13 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS RELATING TO PREMISES This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: City of Santa Ana, its officers, employees, agents, volunteers and representatives Information required to complete this Schedule, If not shown above, will be shown In the Declarations. A. Section II — Who Is An Insured is amended to Include as an additional insured any state or governmental agency or subdivision or political subdivision shown In the Schedule, subject to the following additional provision: This insurance applies only with respect to the following hazards for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization In connection with premises you own, rent or control and to which this insurance applies: 1. The existence, maintenance, repair, construction, erection or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners or decorations and similar exposures; or 2. The construction, erection or removal of elevators; or 3. The ownership, maintenance or use of any elevators covered by this Insurance, V However: 1, The insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the Insurance afforded to these additional Insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional Insured Is the amount of Insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not Increase the applicable Limits of Insurance shown in the Declarations. CG 20 13 04 13 / O Insurance Services Office, Inc., 2012 Page 1 of 1 PI-GL•005 (07/12) THIS ENDORSEMENT CHANGES THE POLICY, PLEASE RgAD IT CAREFULLY. ADDITIONAL INS• w MAWLIMU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PANT SCHEDULE Effective Date: 01/01/2016 Name of Person or Organization (Additional Insured): City of Santa Ana, Its offlcers, employees, agents, volunteers and representatives 20 Civic Center Plaza Santa Ana, CA 92701 SECTiiON d —WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the endorsement Schedule, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" arising out of or relating to your negligence in the performance of "your work" for such person(s) or organization(s) that occurs on or after the effective date shown In the endorsement Schedule. This insurance is primary to and non-contributory with any other Insurance maintained by the person or organization (Additional Insured), except for loss resulting from the sole negligence of that person or organization. This condition applies even If other valid and collectible insurance is available to the Additional Insured for a loss or "occurrence" we cover for this Additional Insured. The Additional Insured's limits of insurance do not Increase our limits of insurance, as described in SECTION ill — LIMITS OF INSURANCE. All other terms, conditions, and exclusions under the policy are applicable to this endorsement and remain unchanged. L ` Page 1 of 1 e G Includes copyrighted material of Insurance Services Office, Inc.„ with its permission. PI-GL-005 (07/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Effective Date: 01/01/2016 Name of Person or Organization (Additional Insured): City of Santa Ana, Its officers, employees, agents, volunteers and representatives 20 Civic Center plaza Santa Ana, CA 02701 SECTION It — WHO IS AN INSURED Is amended to include as an additional insured the person(s) or organization(s) shown in the endorsement Schedule, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" arising out of or relating to your negligence in the performance of "yourwork" for such person(s) or organization(s) that occurs on or after the effective date shown in the endorsement Schedule. This insurance is primary to and non-contributory with any other insurance maintained by the person or organization (Additional Insured), except for loss resulting from the sole negligence of that person or organization. This condition applies even if other valid and collectible insurance is available to the Additional Insured for a loss or "occurrence" we cover for this Additional Insured, The Additional Insured's limits of insurance do not Increase our limits of insurance, as described in SECTION ill — LIMITS OF INSURANCE. All other terms, conditions, and exclusions under the policy are applicable to this endorsement and remain unchanged. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with Its permission. COMMON POLICY CONDITIONS All Coverage Parts Included In this policy are subject to the following conditions. A. Cancellation 1. The first Named Insured shown in the Declara- tions may cancel this policy by mailing: or de- livering to us advance written notice of cancel- lation. Z. We may cancel this policy by mailing or daliv- cringE to the first Named Insured written notice of cancellation at least; a. 10 days before the effective date of cancel- lation if we cancel for nonpayment of pre- mium; or b. 3. We will mail or deliver our rlotiee to the first Named Insuradrs fast maiting, address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. S. if this policy is cancelled, we will send the first Named Insured any premium refund due. It we cancel, the refund will be pro rate, if the first Named Insured cancels, the refund may be less thanpro rate. The cancellation will be ef- fective even if we have not made or offered a refund. 6- If notice Is matted, proof of mailing will be suf. ficient proof of notice. B, Changes This policy contains all the agreements between You and us concerning the Insurance afforded. The first Named: Insured shown in the Declara- tions is authorized to make changes in the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement Issued by us and made a part or this policy. C. Examination of Your Books And Records We may examine and audit your books and rec- ordc asthey relate to this policy at any time during the policy period and up to three years afterward.. D. Inspections And Surveys 1. We have the right to: a. Make Inspections and surveys at any time; IL 0017 11 IL 00 17 1198 b. Give you reports on the conditions we find; and c. Recommend changes. 2. We are not obligated to make any inspections, surveys, reports or recommendations and any such actions we do undertake relate only to in- surability and the premiums to be charged. We do not make safety Inspections.We do not un- dertake to perform the duty of any person or organization to provide for the health or safety of workers or the publfc. And we do not warrant that conditions: a. Are safe or healthful; or b. Comply with taws,. regulations, codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance inspections, surveys, reports or recommendations. 4. Paragraph 2.. of this condition does not apply to any Inspections, surveys, reportsor recom- mendations we may make relative to cortffica- tion,. under state or municipal statutes,. ordl, names or regulations, of boilers, pressure ves- sels or elevators. E. Premiums The first Named Insured shown in the Declara- tions: 1.. anresponsible for the payment of all premiums; 2. Will be the payee for any return premiums we Pay. F. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named in- sured. If you die, your rights and duties will be trans- ferred to your legal representative but only while acting within the scope of duties as your legal rep- resentative. Until your legal representative Is ap- pointed, anyone having proper temporary custody Of your property will have your rights and duties butonly with respect to that property,. Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 0 A community of housing and hope 0 y 1411 N BROADWAY SANTA ANA, CA, 92706-3904, UNITED STATES 002322894 RE: Change of Administrator To whom it may concern; The purpose of this notarized letter is to designate Brateil Aghasi, as Entity Administrator for WISEPLACE. I, Brateil Aghasi - Executive Director, hereby confirm that Brateil Aghasi is an authorized officer, agent, or representative of WISEPLACE. This letter will authorize Brateil Aghasi to have access to the System for Award Management (SAM). SAM is a computer system managed by the Federal Government, and it is only accessible by individuals who are either authorized to represent a particular entity, or by individuals representing themselves. Accessing or using SAM, or information contained therein, for any unauthorized or illegal purposes, may have civil and criminal penalties, and may negatively impact the status of the SAM registration maintained on this entity. I, the below -signed, attest to the accuracy of all information contained in this letter. Old POC: Kathleen Bowman New POC: Brateil Aghasi, (714)542-3577, 1411 N BROADWAY, SANTA ANA, CA, 92706-3904, UNITED STATES, baghasi@wiseplace.org For the purpose of registering with the United States Federal Government through the online System for Award Management (SAM), I do not authorize any 3rd party to act on behalf of WISEPLACE, Brateil Aghasi Executive Director I, a Notary Public, witnessed the above individual sign and provide proof the above person is an authorized signing authority for WISEPLACE. iz Cal _I� O'61 Notary Public Printed Name Dated DAVID OCIEL LARA Commission ip 2132098 z e a Lk Notary Public - California z m Orange County n Notary Public Signature M Gomm. Expires Nov 2A, 2079 1411 North Broadway, Santa Ana, CA 92706 i' 7I4.542.3577 1 7I4.542.3653 www.wiseplace.org CALIFORNIA.. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate Is attached, and not the truthfulness, accuracy, or validity of that document, State of California , Counrty(of. 4�N�k - j 1} On n t.! t vl�j before me t Dote Here Insert Name and itle of the Officer personally appeared ofSigner(9f who proved to me on the basis of satisfactory evidence to be the person((/whose nam �)Rare subscribed to the within instrument and acknowledged to me that he/ e they executed the same i his/their authorized capacity(i ,and that by i e /their signature on the instrument the person(, or the entity upon behalf of which the per sor) acts executed the Instrument. DAVID OCIEL LARA Commission # 2132090 a m Notary Public - California z z Orange County r M Comm. Expires Nov24, 2019 Place Notary Seat and/or Stamp Above 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct, Signature OPTIONAL hand and Signature of Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached C Title or Type of Document: Document Date: 01 Signer(s) Other Than Named Above: Capacity(ies) CI1�m� d b Si ner(s) Signer's Name: 1I ( j ❑ Corporate Officer - Title(s): o Partner - ❑ Limited ❑ General ?f Individual ❑ Attorney in Fact D Trustee ❑ Guardian or Conservator o Other: Signer Is Representing: 02018 National Notary Association Number of Pages: 01 Signer's Name: ❑ Corporate Officer - Title(s): ❑ Partner- ❑ Limited © General ❑ Individual D Attorney In Fact ❑ Trustee ❑ Guardian or Conservator 13 Other: Signer is Representing: